HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: Ivjl,L~E~. j({;'cIZN Date:W3-99
, / /l, (7, / First Inspection ~cond 0
Address: 0~00 V)9,LE G/.e oW Own: 0 Rent: 0 Age of Rome:
Q Residential: 0
Prior Lake, MN 55 v ZZ Phon~" 533~ Non-Residential: 0
1"'1'-1('" t? /. ,/
~S~~~-~' ONo / SUMP~AS T ~O 102 030
WAl~rt. IN BASKET 0 Yes l!J"No SUMP P ~ 0 1 0 2 0.) 0
WATER IN BASEMENT (flow over floor) 0 Yes No CISTERN 0 Yes 01<f0
NfJ,o)j
TirrJ? /6-"a.m./p.m.
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point
at Inspection:
o Laundry tub
o Floor drain
o Sanitary sewer 0 Outside
..---
o Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
---
and why
o Home came with system
o Water in basement
B.
C.
ROOF LEADERS:
o Response to inspection program 0 Other
o Pr~s system failed
~s 0 ~/ DISCHARGE: 0 Near ~~y
o Yes ct'~' WINDOW WELLS 0 Yes ~
o Yes iY"No
YARD DRAINS
BEAVER SYSTEM
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front
OSp~
o Back
o Winter
o Side
NOTES:
~
/'
SUMP PUMP SYSTEM: ~ ASS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. call 651/644-1469 for ~ppointment.
Is there another place where clear water enters the sanitary sewe~ system? 0 Yes ~No
Where is this 10cation~. ,///'
This area will need to b . xed ~e clear wll'fer cikr<J\arcfe's to the storm sewer system.
;;:;:- -- I//U T2?"""-o-' /
Inspector:~W\" ~Xf' . " . ~....... Date: '7" - /.;.1 - ~ :?
Resident: II ' \ \/I.~ :' \ ~1' Date: "y' - / .3 - ':? 9
~ W "<11 I ~ I / -
~' ---
Disclaimer: This vis . ction is done with due diligence to rmd obvious clear water cross-connections
and does not imply t structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG